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Specialty details in registry · Las Vegas, NV

Call (469) 285-2243 Directions

At a glance

921 W Owens Ave, Las Vegas, NV 89106-2584

NPPES record updated Aug 22, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

921 W Owens Ave
Las Vegas, NV 89106-2584

Professional details: NPI, taxonomy & registry record

NPI1306679600

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 332B00000X
Enumeration date: Aug 22, 2024
Record updated: Aug 22, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332B00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

921 W Owens Ave
Las Vegas, NV 89106-2584

Phone: (469) 285-2243

Mailing address

7457 HUNTERS RUN CT

DALLAS, TX 752324157

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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